（胃中有火、有痰。）
南星、半夏、软石膏、莎草根，或汤、或丸。
戴云∶湿热在胃口上，饮食入胃，被湿热郁遏，其食不得传化，故作酸也。如谷肉在器，湿热则易酸也。
必用茱萸顺其性而折之，反佐∶茱萸、黄连。
（只是痰因火动。）
戴云∶此即俗谓之心嘈也。
栀子姜炒，黄连不可无。栀子、黄芩为君。
南星 半夏 橘皮 热多加青黛。
肥人嘈杂，二陈汤加抚芎，用苍术、白术、炒栀子。
不用分五，同是湿热，如 曲相似。
戴云∶五疸者，周身皮肤并眼如栀子水染。因食积黄者，量其虚实，下其食积。其余但利小便为先，小便
利白，即黄自退。
轻者小温中丸；重者大温中丸。
热多者加黄连。湿多者茵陈、五苓散，加食积药。
先用白术、白芍药，炒为末。调服后，却服消渴药。
消渴，养肺、降火、生血为主。分上中下治。
黄连末、天花粉末、人乳、生藕汁、生地黄汁。
上二物汁为膏，入上药搜和，佐以姜汁和蜜汤为膏，徐徐留于舌上，白汤少许送下。
能食加软石膏。栝蒌根治消渴神药。
戴云∶水肿者，通身皮肤光肿如泡者是也。以健脾、渗水、利小便、进饮食。元气实者可下。
此因脾虚不能制水，水渍妄行，当以参术补。脾气得实，则自能健运，自能升降，运动其枢机，则水自
行，非五苓之行水也。宜补中、行湿、利小便，切不可下。
二陈汤加白术、人参为主，佐以苍术、炒栀子、黄芩、麦门冬，制肝木。若腹胀，少佐浓朴。气不运，
加木香、木通。
气若陷下，升麻柴胡提之。随证加减，必须补中。
产后必用大补气血为主，少佐以苍术、茯苓，使水自降。用大剂白术补脾。壅满用半夏、陈皮、香附监之。
有热当清肺，麦门冬、黄芩之属。
一方∶用山栀子去皮取仁炒，捶碎，米饮送下。若胃脘热，病在上者，带皮用。
(Gastric fire and phlegm-dampness.)
Use Arisaema Cum Bile (Nanxing, 天南星), Pinellia Rhizoma Preparatum (Banxia, 半夏), Gypsum Fibrosum (Ruan Shigao, 软石膏), and Cyperi Rhizoma (Shacaogen, 莎草根), prepared as a decoction or pill.
Dai Yun stated: Damp-heat resides at the gastric opening. When food enters the stomach, it is constrained by damp-heat, preventing proper digestion and transmission, thus causing acidity. It is like grain and meat in a container becoming sour when exposed to damp-heat.
One must use Evodiae Fructus (Zhuyu, 吴茱萸) to follow its nature and restrain it, employing the method of counter-assistance: combining Evodiae Fructus (Zhuyu, 吴茱萸) with Coptidis Rhizoma (Huanglian, 黄连).
(It is merely phlegm stirred by fire.)
Dai Yun stated: This is what is commonly referred to as "xin cao" (heart palpitations with discomfort).
Gardeniae Fructus (Zhizi, 栀子) should be stir-fried with ginger juice; Coptidis Rhizoma (Huanglian, 黄连) must not be omitted. Gardeniae Fructus (Zhizi, 栀子) and Scutellariae Radix (Huangqin, 黄芩) serve as the sovereign herbs.
Arisaema Cum Bile (Nanxing, 天南星), Pinellia Rhizoma Preparatum (Banxia, 半夏), and Citri Reticulatae Pericarpium (Chenpi, 橘皮); if heat increases, add Indigo Naturalis (Qingdai, 青黛).
For obese individuals suffering from heart palpitations with discomfort, use Er Chen Tang (Two-Cured Decoction) plus Chuanxiong Rhizoma (Fuxiong, 抚芎), combined with Atractylodis Macrocephalae Rhizoma (Cangzhu, 苍术), Atractylodis Rhizoma (Baizhu, 白术), and stir-fried Gardeniae Fructus (Zhizi, 栀子).
There is no need to categorize into five types; all are due to damp-heat, similar to the fermentation of yeast.
Dai Yun stated: In the five jaundices, the entire skin and eyes appear yellow as if dyed with Gardeniae Fructus water. For jaundice caused by food stagnation, one must assess deficiency or excess and purge the food stagnation. For other types, promoting urination is prioritized; once urine flows freely and turns white, the yellow discoloration naturally recedes.
Mild cases are treated with Xiao Wen Zhong Wan (Minor Warming the Middle Pill); severe cases with Da Wen Zhong Wan (Major Warming the Middle Pill).
If heat predominates, add Coptidis Rhizoma (Huanglian, 黄连). If dampness predominates, use Yinchen Decoction (Yinchen) and Wu Ling San (Five-Ingredient Powder with Poria), adding herbs for food stagnation.
First, use Atractylodis Rhizoma (Baizhu, 白术) and Paeoniae Radix Alba (Baishao, 白芍药), stir-fried and ground into powder. After taking this, administer medicine for treating Xiao Ke (Wasting-Thirst).
The treatment of Xiao Ke (Wasting-Thirst) focuses on nourishing Lung Yin, descending fire, and generating blood. It is treated according to the Upper, Middle, and Lower Jiao.
Take Coptidis Rhizoma powder (Huanglian mo, 黄连末), Trichosanthis Radix powder (Tianhuafen, 天花粉), human milk, fresh lotus root juice, and Rehmanniae Radix Fresh Juice (Sheng Dihuang Zhi, 生地黄汁).
Boil the two juices into an extract, mix in the aforementioned powders, and further process with ginger juice and honey into a paste. Slowly hold the paste on the tongue and swallow with a small amount of plain boiled water.
If appetite is good, add Gypsum Fibrosum (Ruan Shigao, 软石膏). Trichosanthes Root (Gualougen, 栝蒌根) is a miraculous herb for treating Xiao Ke (Wasting-Thirst).
Dai Yun stated: Edema refers to the condition where the whole body's skin is swollen, shiny, and blister-like. Treatment should focus on strengthening the Spleen, leaching out dampness, promoting urination, and improving dietary intake. Patients with substantial Yuan Qi may undergo purgation.
This occurs because Spleen deficiency fails to control water, leading to water flooding and erratic movement. One should tonify with Ginseng Radix et Rhizoma (Renshen, 人参) and Atractylodis Rhizoma (Baizhu, 白术). Once Spleen Qi is solidified, it will naturally transport and transform, ascend and descend, and regulate the pivot mechanism, allowing water to move naturally. This differs from the forced diuresis of Wu Ling San (Five-Ingredient Powder with Poria). The appropriate approach is to tonify the Middle, move dampness, and promote urination; purgation must strictly be avoided.
The primary formula is Er Chen Tang (Two-Cured Decoction) augmented with Atractylodis Rhizoma (Baizhu, 白术) and Ginseng Radix et Rhizoma (Renshen, 人参), assisted by Atractylodis Rhizoma (Cangzhu, 苍术), stir-fried Gardeniae Fructus (Zhizi, 栀子), Scutellariae Radix (Huangqin, 黄芩), and Ophiopogonis Radix (Maidong, 麦门冬) to subdue Liver Wood. If abdominal distension occurs, add Magnoliae Officinalis Cortex (Houpo, 浓朴). If Qi fails to circulate, add Aucklandiae Radix (Muxiang, 木香) and Akebiae Caulis (Mutong, 木通).
If Qi sinks, lift it with Cimicifugae Rhizoma (Shengma, 升麻) and Bupleuri Radix (Chaihu, 柴胡). Adjust according to symptoms, but always prioritize tonifying the Middle.
Postpartum conditions require primarily tonifying Qi and Blood, with minor additions of Atractylodis Rhizoma (Cangzhu, 苍术) and Poria (Fuling, 茯苓) to allow water to descend naturally. Use a large dose of Atractylodis Rhizoma (Baizhu, 白术) to tonify the Spleen. For fullness and obstruction, use Pinellia Rhizoma Preparatum (Banxia, 半夏), Citri Reticulatae Pericarpium (Chenpi, 陈皮), and Cyperi Rhizoma (Xiangfu, 香附) to monitor and control.
If heat is present, clear the Lungs using Ophiopogonis Radix (Maidong, 麦门冬) and Scutellariae Radix (Huangqin, 黄芩).
Another prescription: Use Gardeniae Fructus (Zhizi, 栀子) with the peel removed, take the seed, stir-fry, crush, and administer with rice water. If there is heat in the epigastrium and the pathology is located in the upper jiao, use the fruit with the peel.